Individual
EMILY CAROL KOVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19320 E ADMIRAL PL STE B, CATOOSA, OK 74015-3240
(918) 340-5503
Mailing address
608 N YELLOWOOD AVE, BROKEN ARROW, OK 74012-0604
(918) 533-6637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
M084301127
OK
171M00000X
Case Manager/Care Coordinator
Primary
M084301127
OK
Other
Enumeration date
05/21/2026
Last updated
07/17/2026
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